The Patient Centered Medical Home (PCMH)-- The PCMH is a new model for primary care redesign endorsed by the Pediatrics, Internal Medicine and Family Medicine specialty societies as well as many of the major healthcare payers (including the U.S. government).
Heart failure can be ongoing (chronic), or your condition may start suddenly (acute). Heart failure signs and symptoms may include: 1  Shortness of breath (dyspnea) when you exert yourself or when you lie down. 2  Fatigue and weakness. 3  Swelling (edema) in your legs, ankles and feet. 4  Rapid or irregular heartbeat. 5  Reduced ability to exercise. 6  Persistent cough or wheezing with white or pink blood-tinged phlegm.
Since the blood is coming to the right side of the heart from the body this is where blood can pool. Signs & Symptoms of Right Side Heart Failure: 1  Swelling in the feet, ankles and legs. 2  Distended abdomen or bloating. 3  Fatigue. 4  Shortness of breath, especially while walking or bending over to put on one's shoes.ince the blood is coming to the left side from the lungs, this is where the blood can get pooled. Signs & Symptoms of Left Side Heart Failure: 1  Shortness of breath, especially while walking or bending over to put on one's shoes. 2  Fatigue. 3  Dizziness, lightheadedness.